康复医学本科教育增加循证医学内容的必要性及教学体会

The Necessity of Adding Content about Evidence-based Medicine into Rehabilitation Medicine Undergraduate Education and Teaching Experience

目的:探讨康复医学本科教育增加循证医学内容的必要性。方法:将我校95名11-12级临床医学本科班选修康复医学专业学生随机分为对照组与观察组,对照组采取传统教学模式,观察组采取循证医学模式。对两组学生的教学效果进行评价。结果:对照组学生对病因学、诊断性试验、治疗性试验、药物不良反应、病情预后、临床经济学、卫生技术评估及临床决策分析等知识的掌握度均显著低于观察组(P<0.05);对照组学生的案例测验得分、临床技能考核成绩及学生问卷评分均显著低于观察组(P<0.05);对照组中咨询老师及高年资医生、阅读相关杂志及3周内检索过MEDLINE的学生的比率均显著低于观察组(P<0.05)。结论:循证医学教学模式的教学效果显著优于传统教学模式,应加以推广。

Objective： To discuss the necessity of adding content about evidence-based medicine into rehabilitation medicine undergraduate education. Methods： 95 students of 2011-2012 clinical rehabilitation medicine undergraduate classes were divided into control group and observation group randomly according to balloting method. The control group was taken traditional teaching mothod, while the observation group was taken evidence-based medical teaching method. The teaching effectiveness of two groups was evaluated. Results： （l） In control group, the master degree of etiology, diagnostic tests, therapeutic trials, adverse drug reactions, disease prognosis, clinical economics, health technology assessment and clinical decision analysis were significantly lower than those of the observation group （P 〈0.05）; （2）In control group, the test scores, clinical skills assessment results and student questionnaire scores were significantly lower than those of the observation group （P 〈0.05）; （3）In control group, the rate of consulting teacher or senior doctor, reading magazines and retrieving from MEDLINE within 3 weeks were significantly lower than those of the observation group （P〈0.05）. Conclusion： Evidence-based medicine teaching model is significantly better than the traditional teaching mode. It should be popularized in rehabilitation medical education.